Diagnosis of hyperglycemia and treatment
Hyperglycemia can be diagnosed fairly quickly only in children who suffer from diabetes mellitus, and this fact is known for certain to doctors and parents. This is indicated by laboratory blood glucose data in combination with classic symptoms such as increased urination, painful thirst, dry skin or mucous membranes in the mouth, redness of the face, headache, abdominal pain, nausea or vomiting, unusual drowsiness, lack of coordination of movements , palpitations and shortness of breath.
If an increased level of glucose in the blood is detected, the doctor should determine if ketoacidosis is present. This is done by measuring the level of ketones in serum and urine. The electrolyte level will be evaluated along with the carbon dioxide content and pH by the serum reaction, which may indicate hypertonic dehydration. Constant blood glucose screening and testing for glucose tolerance impairment are recommended for children whose symptoms indirectly or directly indicate the presence of hyperglycemia to any degree. It is also recommended that all obese children be screened for autoimmune antibodies that can appear in the blood in patients with type 2 diabetes.
When establishing a diagnosis, hyperglycemia treatment should be initiated immediately. Patterns of medical care are developed on the basis of laboratory data and the general condition of the sick child. The patient should be delivered carefully to a specialized hospital. Treatment of hyperglycemia is carried out with careful monitoring of laboratory indicators to completely eliminate the risk of hypokalemia and subsequent brain edema.